NPIMap

Organization Active NPI

VG'S Pharmacy Inc

  • Pharmacist
  • Burton, MI
National Provider Identifier
1164534236
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301005242 Issued in MI
Legal business name
VG'S PHARMACY INC
Practice address
4165 E Court St
Burton, MI 48509-1717
Phone
(810) 742-8326
Fax
(810) 742-3900
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryon C Higgins, R.PH.
Title
Pharmacy Product Director
Phone
(810) 629-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5301005242 MI Primary

Addresses

Primary practice location

4165 E Court St
Burton, MI 48509-1717

Mailing address

4165 E Court St
Burton, MI 48509-1717
Phone (810) 742-8326

Other identifiers 2

IdentifierTypeStateIssuer
2345850OtherMINABP/NCPDP
4074862MedicaidMI

Other names 1

  • VG's Pharmacy #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
VG'S Pharmacy 115 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1164534236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091717",
            "telephone_number": "810-742-8326",
            "fax_number": "810-742-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091717",
            "telephone_number": "810-742-8326",
            "fax_number": "810-742-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VG'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACY PRODUCT DIRECTOR",
        "authorized_official_telephone_number": "810-629-1383",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301005242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "2345850",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074862",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VG's Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.